Court Copy
Court no.
Registry location
CHILDREN’S COURT of WESTERN AUSTRALIA
NOTICE TO ATTEND COURT
s43, Young Offenders Act 1994
Date lodged
Given name
Surname
Address
Accused details
Date of birth
Gender
MDL no
Notice to
accused
You are charged with the offence described below and the offence(s) described in any attachment to this notice.
The charges will be dealt with by the above court.
Prosecutor
Location
Person issuing
this notice
Full name
Surname
Work telephone
Official title and signature
*Witness’s
signature
Justice of the Peace or Prescribed Court Officer
Date this notice is signed on:
* If required pursuant to S21(3) or 23(5) of the Criminal Procedure Act 2004.
Hearing details The charge in the above prosecution notice will be first dealt with by the court at the time and date stated below.
Where
When
Date
Time
Name
Signature:
Issuing details
Authorised Investigator or Justice of the Peace or Prescribed Court Officer
Date:
Date
Appearance
by accused
Counsel
Record of court proceedings
Judicial
officer
Y / N
Y / N
Plea
Guilty / Not Guilty
Date of plea
Judgment
Convicted / Acquitted
Spent conviction
Y / N
Penalty and other orders
Fine
Costs
Other
Victim Impact Statement available
Judicial officer
Date:
Description
Date or period
Place
Details of
alleged offence
Written law
Act/Regulation
Section
Date
Appearance
by accused
Counsel
Record of court proceedings
Judicial
officer
Y / N
Y / N
Y / N
Y / N
Y / N
Y / N
Y / N
Y / N
Y / N
Y / N
Y / N
Y / N
Y / N
Y / N
Y / N
Y / N
Y / N
Y / N
Y / N
Date
Clerk’s
initial
Registry record